Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mountain Medical Supply, LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1306362769

Mountain Medical Supply, LLC is a Durable Medical Equipment & Medical Supplies in Aiken, South Carolina. Works from 2 locations. Licensed in Kentucky and South Carolina.

Licensed in
KY, SC
In the registry since
2017
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6170 Woodside Executive Ct
Aiken, SC 29803-3820
Phone: (435) 327-0227
Fax: (877) 492-2716
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 711 Jefferson St, Paducah, KY 42001-6817 — (435) 327-0227

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X · Licence 14834 (SC)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 170014 (KY)

Record details

NPI number1306362769
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wayne Reaves — Chief Financial Officer · (435) 327-0227
NPI enumeratedAugust 17, 2017
Last updated in NPPESSeptember 8, 2022
Certification dateSeptember 8, 2022
Mailing address723 N 1890 W Ste 38a, Provo, UT 84601-1333

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